Commercial Property Insurance Quote Form

For UK Customers Only

Please insert your details here and one of our business advisers will contact you shortly.

This form is designed for Commercial Property Owners who wish to insure a single building for commercial property insurance (including 'mixed use' commercial & residential properties).

If you require a quote for more than one commercial property, please go to our multi-property owners quote form.

For assistance with the completion of this form or if you have any queries, please phone us on 01623 641 386.

Proposer's Details

Proposer's Details (normally the owner / freeholder of the property to be insured)
Proposer's Full Name(s): (enter sole owner's name or all partner's names if a partnership)
Limited Company Name: (only complete if a limited company owns the building)
Contact Name: (if different to above details)
Legal Ownership Status:
Correspondence Address: (not address to be insured)
Correspondence Postcode:
Daytime Telephone Number:
*E-Mail Address:
*Please note that your email address will only be used to provide you with your quote and not for any other marketing purposes.
Additional Details
Has any insurer ever refused renewal, declined or cancelled cover or imposed any special terms?	Yes No
If yes, please provide details:
Have you, or any other partner or director ever been convicted of or charged with any criminal offence?	Yes No
If yes, please provide details: (i.e. type of conviction(s), date of conviction(s), length of custodial sentence or details of any fines imposed, etc.)
Have you, or any other partner or director ever been declared bankrupt or insolvent or had any county court judgements or sheriff decrees?	Yes No
If yes, please provide details: (i.e. CCJ details, amount of bankruptcy/insolvency, date of bankruptcy/insolvency/CCJ, date of discharge, etc.)
Have you, or any other partner or director ever been the subject of an IVA, liquidation or a winding up or administration order with creditors?	Yes No
If yes, please provide details:
Do you comply with the requirements of the Regulatory Reform (Fire Safety) Order 2005 or the equivalent legislation in Scotland and Northern Ireland?	Yes No
Business Description
Business description:
No. of years operating as a property owner?	years
Do you operate your own business from these premises? (This policy is designed for premises that are rented to tenants and are not normally 'owner occupied'.)	Yes No

Property Details

Date of Purchase
What date did you purchase the property?
Risk Address
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Are the whole of the premises to be insured?	Yes No
If no, please provide details: (i.e. which parts of the property are to be insured)
Type of property to be insured:
Type of use by Main Occupier/Tenant?
Trade/Business of Main Occupier/Tenant: (e.g. accountant, newsagent, pub, precision engineers, etc., or if vacant, please state as unoccupied)
Trade/Business of any Other Occupiers/Tenants with whom you share your premises (if applicable):
Are there any heat processes carried out in the property?	Yes No
If yes, please provide details of heat used: (e.g. welders, plasma cutters, blow lamps, etc. and percentage of time the heat is being used (e.g. 20% of time)
Are any hazardous processes ever carried out at the premises, or any hazardous/explosive materials ever stored?	Yes No
If yes, please provide details:
Do you permit sub-letting by tenants?	Yes No
If yes, please provide details: (e.g. name of person/organisation sub-let to, is the contract directly between landlord and tenant, is the sub-letting lease for a minimum period of a 6 months lease, etc.)
Is there any residential accommodation at the business premises? (e.g. flat above, etc.)	Yes No
If the Residential portion is occupied by flats, please indicate the number of flats:
Please confirm the tenancy type: (e.g. Professional Working Tenants, etc.)
Type of residential accommodation:
Is a lease / tenancy agreement in force for a minimum period of 6 months? (other than where disclosed above as occupied by owner/proposer or unoccupied/vacant)	Yes No
If No, please provide reason: (e.g. Owner occupied, occupied by family rent free, etc.)
Year Built
Approximately, what year was the property built?	(yyyy)
Is the property a grade listed building? (i.e. Grade I, II, etc.)	Yes No
Listed property grade:
Unoccupancy
Are any of the area's of the building unoccupied?	Yes No
What is the percentage that is unoccupied?	%
Which floors are unoccupied? (e.g. ground floor only, 1st floor only, all floors, etc.)
How long has it been unoccupied? (e.g. 6 months)
When is it anticipated that the property will become re-occupied?
What type of business previously traded from the unoccupied section of the property?
What are your long term intentions for the property? (i.e. to sell, to rent out, owner occupy, to demolish, etc.)
Has the property been boarded up?	Yes No
Property Condition / Renovations
Is the property in a good state of repair and maintained? (i.e. property is secure, structurally sound, weatherproof and has no dry rot, rising damp, or damage to the roof or chimney, etc.)	Yes No
If no, please provide details:
Is the property undergoing any renovation work or is any planned within the next 12 months?	Yes No
If yes, please confirm the work being carried out: (e.g. redecoration work, kitchens, bathrooms, etc.)
Does the work include structural alterations, or major renovation work affecting load bearing walls or the roof, or are any such works being planned?	Yes No
If yes, please provide details of the structural alterations:
Is planning permission required for the renovations?	Yes No
If yes, has planning permission been obtained?	Yes No
Please confirm the cost of the renovations:
How long is the renovation work going to take?
Flood / Subsidence Risk Details
Are the premises at least 250 metres away from the nearest river, lake, canal or tidal waters and not in an area designated as a high flood risk?	Yes No
If no, please provide details: (i.e. distance to watercourse, type of watercourse (e.g. river, etc.), high flood risk details, etc.)
Has there ever been any flood damage at the premises or nearby?	Yes No
Please provide details of the damage: (e.g. type of damage, date of damage, amount of damage, etc.)
Has the property ever suffered from subsidence, heave or landslip?	Yes No
Please provide details of the damage: (e.g. type of damage, date of damage, amount of damage, etc.)
Heating
Is the property heated only by fixed gas or oil central heating, electric storage heaters, fixed gas or electrical appliances, or other forms of fixed heating and not by any portable heaters?	Yes No
If yes, type of heating fuel:
Please provide details of 'Other' or 'Portable' heating: (i.e. description of 'other' heating or type of portable heaters, e.g. electric fan heaters, etc.)
Number of 'Other' or 'Portable' heaters:
Are there any additional forms of heating?	Yes No
Method of heating:
Type of fuel:
Electrics / Lease
Is there a current IEE electrical certificate? (i.e. within the last 5 years)	Yes No
Do the premises have a full repairing lease?	Yes No
Construction
Property details:
Number of storeys:
Construction of Walls (e.g. brick, stone, etc.):
Do the walls contain any combustible linings?	Yes No
If yes, please confirm type of linings:
Construction of Roof (e.g. tile, slate, flat, etc.):
Percentage Flat Roofing (if applicable):	%
If any flat roofing, please confirm the type: (e.g. 'felt/bitumen on wood' or 'concrete flat roof')
Does the property have any external cladding/external wall insulation?	Yes No
If yes, type of external cladding/insulation material:
Are there any composite panels on the property?	Yes No
Please specify the core of the composite panels:
Construction of Floors:
Fire Protection & Alarms
Is a fire alarm installed?	Yes No
If yes, details of the fire alarm:
Is a sprinkler system installed?	Yes No
If yes, details of the sprinkler system:
Is an intruder alarm installed?	Yes No
If yes, details of intruder alarm installed?
Claims Experience
Has there been any claims or incidents at this property or any other property you own in the last 5 years?	Yes No
Please provide details of all claims: (i.e. date of claim, amount claimed, circumstances of the claim, etc.)	Date of Claim: Amount Claimed:£ Details of Claim: ---------------------- Date of Claim: Amount Claimed:£ Details of Claim: ---------------------- Date of Claim: Amount Claimed:£ Details of Claim: ---------------------- Unfortunately, we will be unable to provide a quotation if you have had more than 3 claims.

Property Cover

Cover Required
Level of cover required:
Is cover required for sprinkler leakage?	Yes No
Is cover required for subsidence, heave or landslip?	Yes No
If yes, are there any trees or shrubs over 5 metres tall within 10 metres of the premises?	Yes No
Please provide details: (type of trees (e.g. birch, etc.), height of highest tree(s), and distance from the building
If yes, are the premises located within 500 metres of a cliff, quarry or embankment / cutting?	Yes No
Please provide details: (e.g. type of hazard (e.g. cliff, etc.), and approximate distance from the building)
Is cover required for terrorism?	Yes No
Buildings Declared Value / Sum Insured
Is 'Day One' uplift cover required?	Yes No
If yes, please state uplift required (15%-50%):
Buildings Declared Value (£'s):
Buildings Sum Insured (£'s):
Buildings excess required: (Larger excess will reduce the premium)
Loss of Rent (optional)
Is cover required for loss of rent? (Covers loss of rent following an insured event, e.g. fire, flood, etc.)	Yes No
If yes, please confirm the current rent received per annum:	per annum
Maximum Indemnity Period
Landlords Contents (optional)
Landlords Contents (if required) (£'s): (Cover for any fixtures and fittings you own as a landlord)

Liability Cover

Property Owners Liability (optional)
Is cover required for Property Owners Liability? (Covers your legal liability for injury or property damage e.g. tile falls off roof and injures a person)	Yes No
If yes, please confirm the cover required:
Employers' Liability (optional)
Is Employers' Liability cover required? (e.g. for caretakers, gardeners, administrators, etc.)	Yes No
Please confirm the total number of employees:
Please also confirm the total wages of the employees (£'s):	per annum
What type of work is carried out by the employees? (e.g. administration, property maintenance, etc.)

Legal Expenses Cover

Legal Expenses Cover (optional)
Is Landlord's Legal Expenses cover required? (£50,000 legal defence costs for property disputes, repair & renovation disputes, health & safety prosecutions, tax protection, etc.)	Yes No
Have you or any other partner or director ever been involved in any legal dispute, claims or circumstances which could lead to a claim in the last 5 years?	Yes No
Please provide details of the dispute/claim: (i.e. circumstances of claim, date of claim, costs of claim, etc.):

Additional Covers / Information

If there is any other information you wish to disclose or if you have any additional cover requirements, please provide details:
You are required to make a fair presentation of the risk to insurers which means that you are required to disclose every material circumstance which you know or ought to know relating to the risk to be insured. Materially important information is any information that could influence an insurer's decision to accept your risk including the cost of your insurance. Failure to comply with the duty of fair presentation could mean that your policy is void or that insurers are not liable to pay all or part of your claim(s). By submitting this quotation you are confirming that there are no other material facts to disclose other than those shown above.
Details Of Current / Previous Policies

Cover Start Date / Renewal Date:
Current Annual Premium / Best Quotation (£'s):	This may help us to get you a better quote
Name of Current / Previous Insurer:	e.g. Aviva, AXA, Allianz, NIG, RSA, Zurich, etc.

Request Quotation

Disclosure
Please ensure that all the information you have provided is correct and that you have answered all the questions accurately then press the Request Commercial Property Insurance Quotation button to send your quotation details to us.

Estimated Quote Time: 1 to 3 working days